AT HOME CARE INCORPORATED: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- AT HOME CARE INCORPORATED (EIN 16-1287069)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-09-22
- IRS object ID
- 202022669349300417
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-09-22T13:27:13-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161131146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONADIO & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 432 NORTH FRANKLIN STREET | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161287069 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AT HOME CARE INCORPORATED | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ATHO | BusinessNameControlTxt |
| Phone | 6074327924 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25 ELM STREET | AddressLine1Txt |
| City | ONEONTA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13820 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEREMY PAIN | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 6074327924 | PhoneNum |
| Signature | 2020-09-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KYLE LYSKAWA | PreparerPersonNm |
| PTIN | P01685281 | PTIN |
| Phone | 3154227109 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 71.115.194.128 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-09-14 | IPDt |
| IP Tm | 07:50:52 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 37293ED88DE8E6930E74CD95887C8CF68DBA91DC | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEREMY PAIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25 ELM STREET | AddressLine1Txt |
| City | ONEONTA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13820 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,410,429 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BASSETT.ORG/AT-HOME-CARE | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1986 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 131 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,074,489 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,945,863 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,635 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,546 | CYInvestmentIncomeAmt |
| PY Other Revenue | $432,456 | PYOtherRevenueAmt |
| CY Other Revenue | $463,020 | CYOtherRevenueAmt |
| PY Total Revenue | $7,511,580 | PYTotalRevenueAmt |
| CY Total Revenue | $7,410,429 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,601,706 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,918,840 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,005,994 | PYOtherExpensesAmt |
| CY Other Expenses | $1,753,574 | CYOtherExpensesAmt |
| PY Total Expenses | $8,607,700 | PYTotalExpensesAmt |
| CY Total Expenses | $7,672,414 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,096,120 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$261,985 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,870,956 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,623,694 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,303,287 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,318,010 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,567,669 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,305,684 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE ORGANIZATION PROVIDES HIGH QUALITY, EFFICIENTLY DELIVERED AND COST EFFECTIVE PROFESSIONAL AND PARAPROFESSSIONAL REHABILITATIVE HEALTH CARE SERVICES TO PATIENTS IN A HOME ENVIRONMENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,478,073 | ExpenseAmt |
| Revenue | $7,408,883 | RevenueAmt |
| Desc | THE CORPORATION IS A CERTIFIED, COMMUNITY-BASED, HOME HEALTH CARE AGENCY PROVIDING A FULL RANGE OF SKILLED NURSING, HOME HEALTH AIDE, THERAPY AND OTHER SPECIALIZED SERVICES TO PATIENTS WHO CAN BE CARED FOR AT HOME. | Desc |
| Total Program Service Expenses | $6,478,073 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 131 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEREMY PAIN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6074327924 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25 ELM STREET | AddressLine1Txt |
| City | ONEONTA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13820 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| MS LISA BETRUS | |||||||
| CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $230,556 | $17,649 |
| MR GARY SMITH | |||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $155,454 | $29,499 |
| MS LAURIE NEANDER | |||||||
| PRESIDENT | 38.00 | 2.00 | Yes (X) | Yes (X) | $166,526 | $0 | $8,500 |
| MR JEREMY PAIN | |||||||
| COO | 40.00 | Yes (X) | $116,263 | $0 | $2,000 | ||
| MS DONNA SCHULTES | |||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $147,613 | $10,119 |
| MR LEONARD LINDENMUTH | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $226,385 | $6,768 | ||
| MS DONNA ANDERSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $235,697 | $14,071 | ||
| MR SCOTT COHEN | |||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $317,408 | $28,571 | |
| MR ANDREW MANZER | |||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $370,020 | $27,180 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $282,789 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,683,133 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $144,357 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| INFORMATION SYSTEMS DIVISION | |||||
| 98 CHESTNUT ST | ONEONTA | NY | 13820 | COMPUTER SERVICES/IT | $167,727 |
| MEDTRONIC CARE MGT SVS | |||||
| 7980 CENTURY BLVD | CHANHASSEN | MN | 55317 | PATIENT MANAGEMENT SERVICES | $144,251 |
| NETSMART TECHNOLOGIES INC | |||||
| 4950 COLLEGE BLVD | LEAWOOD | KS | 66211 | SOFTWARE CONTRACT | $123,962 |
| SIMIONE HEALTHCARE CONSULTANTS LLC | |||||
| 4130 WHITNEY AVENUE | HAMDEN | CT | 06518 | CONTRACT EMPLOYMENT | $111,780 |
| MCKESSON CORPORATION | |||||
| PO BOX 98347 | CHICAGO | IL | 60693 | SOFTWARE CONTRACT | $105,459 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $6,945,863 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,945,863 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,945,863 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,546 | TotalRevenueColumnAmt |
| Exclusion | $1,546 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MANAGEMENT FEE REVENUE | 900099 | $450,273 | $450,273 |
| MISCELLANEOUS INCOME | 900099 | $12,747 | $12,747 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $463,020 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,410,429 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,408,883 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,546 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,026 | TotalAmt |
| Management And General | $175,026 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,706,458 | TotalAmt |
| Program Services | $4,490,227 | ProgramServicesAmt |
| Management And General | $216,231 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $754,947 | TotalAmt |
| Program Services | $703,554 | ProgramServicesAmt |
| Management And General | $51,393 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282,409 | TotalAmt |
| Program Services | $260,254 | ProgramServicesAmt |
| Management And General | $22,155 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,319 | TotalAmt |
| Management And General | $14,319 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,939 | TotalAmt |
| Management And General | $31,939 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,318 | TotalAmt |
| Management And General | $276,318 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,235 | TotalAmt |
| Program Services | $2,735 | ProgramServicesAmt |
| Management And General | $500 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $595,969 | TotalAmt |
| Program Services | $281,437 | ProgramServicesAmt |
| Management And General | $314,532 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $104,080 | TotalAmt |
| Program Services | $87,994 | ProgramServicesAmt |
| Management And General | $16,086 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $324,937 | TotalAmt |
| Program Services | $318,958 | ProgramServicesAmt |
| Management And General | $5,979 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,967 | TotalAmt |
| Program Services | $4,199 | ProgramServicesAmt |
| Management And General | $768 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252 | TotalAmt |
| Management And General | $252 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,598 | TotalAmt |
| Program Services | $66,450 | ProgramServicesAmt |
| Management And General | $12,148 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,731 | TotalAmt |
| Program Services | $35,281 | ProgramServicesAmt |
| Management And General | $6,450 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| TELEHEALTH EQUIPMENT | $150,532 | $150,532 | |
| PROVISION FOR BAD DEBTS | $48,377 | $48,377 | |
| MISCELLANEOUS | $45,113 | $45,113 | |
| STAFF RECRUITMENT | $26,244 | $22,188 | $4,056 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,963 | TotalAmt |
| Program Services | $5,887 | ProgramServicesAmt |
| Management And General | $1,076 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,672,414 | TotalAmt |
| Program Services | $6,478,073 | ProgramServicesAmt |
| Management And General | $1,194,341 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,300 | BOYAmt |
| EOY | $109,222 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $754,682 | BOYAmt |
| EOY | $120,111 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,329,387 | BOYAmt |
| EOY | $1,644,754 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,955 | BOYAmt |
| EOY | $50,098 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,103,193 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,711,108 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $443,082 | BOYAmt |
| EOY | $392,085 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $273,550 | BOYAmt |
| EOY | $307,424 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,870,956 | BOYAmt |
| EOY | $2,623,694 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $372,088 | BOYAmt |
| EOY | $357,042 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $365,297 | BOYAmt |
| EOY | $446,862 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $565,902 | BOYAmt |
| EOY | $514,106 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,303,287 | BOYAmt |
| EOY | $1,318,010 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,567,669 | BOYAmt |
| EOY | $1,305,684 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,567,669 | BOYAmt |
| EOY | $1,305,684 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,870,956 | BOYAmt |
| EOY | $2,623,694 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$261,985 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,496,862 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,065,230 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,250,603 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,074,489 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,945,863 | CurrentTaxYearAmt |
| Total | $40,833,047 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,496,862 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,065,230 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,250,603 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,074,489 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,945,863 | CurrentTaxYearAmt |
| Total | $40,833,047 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $40,833,047 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,776 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,667 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,827 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,635 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,546 | CurrentTaxYearAmt |
| Total | $21,451 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,776 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,667 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,827 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,635 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,546 | CurrentTaxYearAmt |
| Total | $21,451 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $540,918 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $519,103 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $480,760 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $437,091 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $464,566 | CurrentTaxYearAmt |
| Total | $2,442,438 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,042,556 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,590,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,736,190 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,516,215 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,411,975 | CurrentTaxYearAmt |
| Total | $43,296,936 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.94310 | PublicSupportCY509Pct |
| Public Support PY509 | 0.95400 | PublicSupportPY509Pct |
| Investment Income CY | 0.00050 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00060 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $548,198 | OtherCostOrOtherBasisAmt |
| Depreciation | $240,844 | DepreciationAmt |
| Book Value | $307,354 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,507,286 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,448,103 | DepreciationAmt |
| Book Value | $59,183 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $47,709 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,161 | DepreciationAmt |
| Book Value | $25,548 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $392,085 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSIT | $7,741 |
| DUE FROM AFFILIATES | $299,683 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $307,424 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD-PARTY PAYERS | $51,096 |
| LONG TERM LOAN PAYABLE TO MEMBER ORGANIZATION | $463,010 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $514,106 | TotalLiabilityAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MS LISA BETRUS | ||||||||||||||
| CHAIR | $0 | $226,386 | $0 | $4,170 | $0 | $0 | $0 | $11,467 | $0 | $6,182 | $0 | $248,205 | $0 | $0 |
| MR GARY SMITH | ||||||||||||||
| TREASURER | $0 | $155,454 | $0 | $0 | $0 | $0 | $0 | $11,846 | $0 | $17,653 | $0 | $184,953 | $0 | $0 |
| MS LAURIE NEANDER | ||||||||||||||
| PRESIDENT | $166,526 | $0 | $0 | $0 | $0 | $0 | $1,500 | $0 | $7,000 | $0 | $175,026 | $0 | $0 | $0 |
| MS DONNA SCHULTES | ||||||||||||||
| SECRETARY | $0 | $147,613 | $0 | $0 | $0 | $0 | $0 | $4,470 | $0 | $5,649 | $0 | $157,732 | $0 | $0 |
| MR LEONARD LINDENMUTH | ||||||||||||||
| DIRECTOR | $0 | $226,385 | $0 | $0 | $0 | $0 | $0 | $6,768 | $0 | $0 | $0 | $233,153 | $0 | $0 |
| MS DONNA ANDERSON | ||||||||||||||
| DIRECTOR | $0 | $235,697 | $0 | $0 | $0 | $0 | $0 | $14,071 | $0 | $0 | $0 | $249,768 | $0 | $0 |
| MR SCOTT COHEN | ||||||||||||||
| DIRECTOR | $0 | $317,408 | $0 | $0 | $0 | $0 | $0 | $20,075 | $0 | $8,496 | $0 | $345,979 | $0 | $0 |
| MR ANDREW MANZER | ||||||||||||||
| DIRECTOR | $0 | $370,020 | $0 | $0 | $0 | $0 | $0 | $17,084 | $0 | $10,096 | $0 | $397,200 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY IMOGENE BASSET HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | OFFICERS OF THE AHC BOARD OF DIRECTORS ARE ALSO OFFICERS OF THE HOSPITAL. | RelationshipDescriptionTxt |
| Transaction | AT HOME CARE HAS A LONG TERM PAYABLE DUE TO THE MARY IMOGENE BASSETT HOSPITAL (THE HOSPITAL). UNDER THE TERMS OF THIS AGREEMENT, THE HOSPITAL HAS AUTHORIZED AHC TO USE CERTAIN SOFTWARE THAT WAS PAID PARTIALLY BY THE HOSPITAL. THE AMOUNT OF THE LOAN IS $463,010 AND DOES NOT BEAR INTEREST. IN THE EVENT THAT AHC INTENDS TO DISSOLVE, AHC SHALL REPAY THE NOTE TO THE HOSPITAL PRIOR TO THE DISSOLUTION AND AS A PREFERRED CREDITOR. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SEE SCHEDULE O | THE ORGANIZATION PROVIDES HIGH QUALITY, EFFICIENTLY DELIVERED AND COST EFFECTIVE PROFESSIONAL AND PARAPROFESSSIONAL REHABILITATIVE HEALTH CARE SERVICES TO PATIENTS IN A HOME ENVIRONMENT. |
| FORM 990, PART VI, SECTION A, LINE 2 | EMPLOYEES OF A.O. FOX MEMORIAL HOSPITAL AND THE MARY IMOGENE BASSETT HOSPITAL, MAKE UP 100% OF THE BOARD OF DIRECTORS. THESE 2 ENTITIES ARE RELATED PARTIES. |
| FORM 990, PART VI, SECTION A, LINE 6 | A.O. FOX MEMORIAL HOSPITAL AND THE MARY IMOGENE BASSETT HOSPITAL ARE BOTH MEMBERS OF THE ORGANZATION AND AS SUCH ARE ENTITLED TO THE RIGHT TO PARTICIPATE IN GOVERNANCE WHICH INCLUDES THE ABILITY TO ELECT MEMBERS OF THE GOVERNING BODY, AMONG OTHER THINGS. |
| FORM 990, PART VI, SECTION A, LINE 7A | A.O. FOX MEMORIAL HOSPITAL AND THE MARY IMOGENE BASSETT HOSPITAL, CONSIDERED MEMBERS OF THE ORGANIZATION, ELECT 100% OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE TREASURER PRESENTS THE DRAFT 990 TO THE DIRECTORS OF THE BOARD PRIOR TO FILING. ANY QUESTIONS ARE RAISED AND ONCE APPROVED, THE 990 CAN BE FILED. A COMPLETE COPY OF THE ORGANIZATION'S FINAL FORM 990, INCLUDING ALL REQUIRED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, WAS PROVIDED/OR WAS MADE AVAILABLE TO EACH MEMBER OF THE BOARD BEFORE ITS FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST STATEMENTS ARE OBTAINED ANNUALLY FROM ALL PERSONS OF INTEREST. PERSONS OF INTEREST ARE CONSIDERED TO BE DIRECTORS, OFFICERS OR MEMBERS OF COMMITTEES OF THE GOVERNING BOARD WITH DIRECT OR INDIRECT FINANCIAL INTEREST. ONCE A POTENTIAL CONFLICT IS DISCLOSED, THE REMAINING BOARD WILL DECIDE IF A CONFLICT EXISITS. MEMBERS WITH A CONFLICT WILL LEAVE A MEETING DURING A VOTE ON A TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS EVALUATES THE PRESIDENT'S PERFORMANCE AND SALARY ANNUALLY. ADDITIONALLY, EACH FALL, THE PRESIDENT COMPLETES A COMPETITIVE WAGE ANALYSIS USING INDUSTRY SURVEYS PUBLISHED BY THE NATIONAL ASSOCIATION OF HOME CARE. THE PERSONNEL COMMITTEE AND FULL BOARD APPROVE THESE WAGES AS A COMPONENT OF THE ANNUAL BUDGET PROCESS. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE AVAILABLE UPON REQUEST MADE AT THE ADMINISTRATIVE OFFICE LOCATED ON 25 ELM STREET, ONEONTA, NY. |
| PART XII, LINE 2C EXPLANATION | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| AT HOME CARE PARTNERS INC | ||||||||||
| 25 ELM STREET | ONEONTA | NY | 13820 | 562397098 | PROVIDING HOME HEALTH CARE TO INDIVIDUALS IN THEIR PLACE OF RESIDENCE | NY | 501(C)(3) | LINE 11 | AT HOME CARE INCORPORATED | Yes (1) |
| BASSETT HEALTHCARE NETWORK | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 133218680 | SUPPORT | NY | 501(C)(3) | LINE 12C, III-FI | NONE | 0 |
| FRIENDS OF BASSETT | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13328 | 237041610 | FUNDRAISER | NY | 501(C)(3) | LINE 7 | BASSET HEALTHCARE NETWORK | 0 |
| AO FOX MEMORIAL HOSPITAL | ||||||||||
| ONE NORTON AVENUE | ONEONTA | NY | 13820 | 150539039 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | BASSET HEALTHCARE NETWORK | 0 |
| BASSETT HOSPITAL SCHOHARIE COUNTY | ||||||||||
| 178 GRANDVIEW DRIVE | COBLESKILL | NY | 12043 | 141772971 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | BASSET HEALTHCARE NETWORK | 0 |
| LITTLE FALLS HOSPITAL | ||||||||||
| 140 BURWELL STREET | LITTLE FALLS | NY | 13365 | 150533578 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | BASSET HEALTHCARE NETWORK | 0 |
| 0'CONNOR HOSPITAL | ||||||||||
| 460 ANDES ROAD | DELHI | NY | 13753 | 161540394 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | BASSET HEALTHCARE NETWORK | 0 |
| TEMPLETON FOUNDATION | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13327 | 133317084 | LANDLORD | NY | 501(C)(3) | LINE 10 | BASSET HEALTHCARE NETWORK | 0 |
| TRI TOWN REGIONAL HEALTHCARE | ||||||||||
| 43 PEARL STREET | SIDNEY | NY | 13838 | 260169584 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | BASSET HEALTHCARE NETWORK | 0 |
| VALLEY HEALTH SERVICES | ||||||||||
| 690 WEST GERMAN STREET | HERKIMER | NY | 13350 | 222511614 | ELDER CARE | NY | 501(C)(3) | LINE 3 | BASSETT REGIONAL CORPORATION (BRC) | 0 |
| BASSETT PPS LLC | ||||||||||
| 618 STATE HIGHWAY 7 | ONEONTA | NY | 13820 | 811749905 | HEALTHCARE | NY | 501(C)(3) | LINE 12A, I | MARY IMOGENE BASSETT HOSPITAL | 0 |
| MARY IMOGENE BASSETT HOSPITAL | ||||||||||
| ONE ATWELL ROAD | COOPERSTOWN | NY | 13326 | 135596796 | HEALTHCARE | NY | 501(C)(3) | LINE 3 | BASSET HEALTHCARE NETWORK | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEATHERSTOCKING PHYSICIANS PC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE ATWELL ROAD | AddressLine1Txt |
| City | COOPERSTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13326 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 364864562 | EIN |
| Primary Activities | HEALTHCARE SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| AT HOME CARE PARTNERS INC | ||
| Q | $284,274 | EXPENSES INCURRED |
| AT HOME CARE PARTNERS INC | ||
| Q | $165,999 | MANAGEMENT FEE CALCULATION |